Work/life balance and associated stress from carry-over work is always a challenge in a consulting environment. As you get more senior, the lines blur and I feel the same levels of dedicated mentorship may not seem as apparent (i.e. you have to be smart enough to seek it out from the right people). If you're fortunate enough to get promoted into the local executive team (i.e. Principal cohorts and up), you will inevitably gain exposure to some of the cross-office and leadership oriented politics that exist at all places. More importantly, you will have to find your way through the maze to continue to grow and find a niche that allows for those opportunities above and beyond account management / sales.